Managerial Epidemiology The implementation of the Affordable Care Act in 2010 le

Question

Managerial Epidemiology

The implementation of the Affordable Care Act in 2010 led many Americans to question their reliance on health insurance,

including examining its costs and benefits. Review the following information from The Commonwealth Fund website on risk-adjustment and the ACA: http://www.commonwealthfund.org/publications/issue-briefs/2011/may/risk-adjustment-under-the-aca

State your opinions on the Affordable Care Act and support them with research. Reflect on capitation rates being adjusted to account for risk factors in the population.

Explanation / Answer

The Affordable Care Act provides safety for the insurers and it encourages the sale of coverage in the individual market. This coverage provides reimbursement for the individual planner. The reimbursement program cover's the consumer's specified amount of percentage. The risk of Affordable Care Act reduces the exchanges during the early year because the insurers will have the target amount of expenditure. In the Affordable Care Act, it calculates each insurer's total scores of all population. Adjusted payment will be provided to the risk insurers. This results in challenges in the implementation.

The health plans are distributed as very healthy, healthy, sick, very sick. It decreases the over and underpayment. The ACA compensate the difference between the actual expenditure and the predictable expenditure. The state must choose the appropriate model based on the state regulations. Other approaches include pay -for performance payment incentives. Most of them believe the concurrent model is more approachable. Another issue is the enrollment of those who have not insured yet.

Thus, the affordable care act facing challenges to expand the coverage. The private insurance market came across the number of changes. Sometimes the premiums will be much higher or much lower.

Related Questions

Navigate

• Browse (All)
• Browse M
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.